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Trial · NCT03702270

The Effect of Providing Stratification of Low Risk Penicillin Allergies on Penicillin Allergy Label Removal

NCT03702270, Not applicable, Completed, Vanderbilt University Medical Center; results first posted 2024-10-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. The Effect of Providing Stratification of Low Risk Penicillin Allergies on Penicillin Allergy Label Removal. Trials, record NCT03702270. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03702270

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
The Effect of Providing Stratification of Low Risk Penicillin Allergies on Penicillin Allergy Label Removal
NCT number
NCT03702270
Status
Completed
Phases
Not applicable
Enrollment
2,052 participants, actual
Lead sponsor
Vanderbilt University Medical Center
Conditions
Penicillin Allergy
Interventions
Penicillin Allergic Risk Stratification Best Practice Alert
First posted
2018-10-11
Last updated
2024-12-18
Results first posted
2024-10-15

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPenicillin Allergy Label RemovalHospital discharge at approximately 4 days after admissionThe percentage of patients with low risk penicillin allergy whose labels are removed from the medical chart's allergy section.
SecondaryAdverse Events (in Particular, Reported Allergic Events)Hospital discharge at approximately 4 days after admissionThe percentage of penicillin allergic patients challenged with amoxicillin who reported adverse events
SecondaryCommunication About Penicillin Allergy in Discharge SummaryHospital discharge at approximately 4 days after admissionThe percentage of penicillin allergic patients whose discharge summary contains information about penicillin allergy at discharge.
SecondaryAntibiotic Utilization by PatientsHospital discharge at approximately 4 days after admission and from 3-18 months of follow up
The number of changes or new starts of penicillin or cephalosporin treatments as a result of penicillin allergy label removal and the proportion of patients experiencing this event, this will be looked at as "Same hospitalization" as the challenge or "Subsequent Utilization"
SecondaryDurability of Penicillin Allergy Label RemovalHospital discharge at approximately 4 days after admission and from 3-18 months of follow upThe percentage of penicillin allergic patients whose penicillin allergy labels were removed at discharge whose labels are not reentered into the chart.
SecondaryReceipt of Risk Stratification Tool AssessmentHospital discharge at approximately 4 days after admissionNumber of patients with a penicillin allergy label who received a risk assessment.
SecondaryTime to Penicillin Allergy Label ReturnFrom 3-18 months of follow upFor those patients who underwent a penicillin allergy label removal and it returns, we will compare the date the allergy label returned with the date it was removed
SecondaryPenicillin Utilization by PatientsHospital discharge at approximately 4 days after admission and from 3-18 months of follow up
The number of changes or new starts of penicillin treatments as a result of penicillin allergy label removal and the proportion of patients experiencing this event, this will be looked at as "Same hospitalization" as the challenge or "Subsequent Utilization"
SecondaryCephalosporin Utilization by PatientsHospital discharge at approximately 4 days after admission and from 3-18 months of follow up
The number of changes or new starts of cephalosporin treatments as a result of penicillin allergy label removal and the proportion of patients experiencing this event, this will be looked at as "Same hospitalization" as the challenge or "Subsequent Utilization"

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPenicillin Allergy Label RemovalHospital discharge at approximately 4 days after admissionParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAdverse Events (in Particular, Reported Allergic Events)Hospital discharge at approximately 4 days after admissionParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCommunication About Penicillin Allergy in Discharge SummaryHospital discharge at approximately 4 days after admissionParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAntibiotic Utilization by PatientsHospital discharge at approximately 4 days after admission and from 3-18 months of follow upParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDurability of Penicillin Allergy Label RemovalHospital discharge at approximately 4 days after admission and from 3-18 months of follow upParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYReceipt of Risk Stratification Tool AssessmentHospital discharge at approximately 4 days after admissionParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Penicillin Allergy Label ReturnFrom 3-18 months of follow upIntervention arm had 40 patients whose labels did not return. The control had 27 patients whose labels did not return.daysMEDIAN
SECONDARYPenicillin Utilization by PatientsHospital discharge at approximately 4 days after admission and from 3-18 months of follow upParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCephalosporin Utilization by PatientsHospital discharge at approximately 4 days after admission and from 3-18 months of follow upParticipantsCOUNT_OF_PARTICIPANTS

Results by group42

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Penicillin Allergy Label RemovalPenicillin Allergic Floor Patients- Experimental45Participants
Penicillin Allergy Label RemovalPenicillin Allergic Floor Patients- Control31Participants
Adverse Events (in Particular, Reported Allergic Events)Penicillin Allergic Floor Patients Who Received Amoxicillin Challenge - Experimental0Participants
Adverse Events (in Particular, Reported Allergic Events)Penicillin Allergic Floor Patients Who Received Amoxicillin Challenge - Control0Participants
Communication About Penicillin Allergy in Discharge SummaryPatient Communication About Allergy Label Removal- ExperimentalYes21Participants
Communication About Penicillin Allergy in Discharge SummaryPatient Communication About Allergy Label Removal- ControlYes14Participants
Communication About Penicillin Allergy in Discharge SummaryPatient Communication About Allergy Label Removal- ExperimentalNo5Participants
Communication About Penicillin Allergy in Discharge SummaryPatient Communication About Allergy Label Removal- ControlNo2Participants
Communication About Penicillin Allergy in Discharge SummaryPatient Communication About Allergy Label Removal- ExperimentalMissing0Participants
Communication About Penicillin Allergy in Discharge SummaryPatient Communication About Allergy Label Removal- ControlMissing4Participants

Participant flow72

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
ControlSTARTEDSequence A171
ControlSTARTEDSequence B311
ControlSTARTEDSequence C511
ControlSTARTEDSequence D271
ControlSTARTEDSequence E531
ControlSTARTEDSequence F651
ControlSTARTEDSequence G971
ControlSTARTEDSequence H871
ControlSTARTEDSequence I1251
ControlSTARTEDSequence J1791

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPenicillin Allergic Floor Patients- Experimental01,018
Total, all-cause mortalityPenicillin Allergic Floor Patients- Control01,034
Total, other adverse eventsPenicillin Allergic Floor Patients- Experimental01,018
Total, other adverse eventsPenicillin Allergic Floor Patients- Control01,034
Total, serious adverse eventsPenicillin Allergic Floor Patients- Experimental01,018
Total, serious adverse eventsPenicillin Allergic Floor Patients- Control01,034

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons5

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Penicillin Allergic Floor Patients- Experimental vs Penicillin Allergic Floor Patients- Control: Receipt of Risk Stratification Tool AssessmentTrial comparisons
Penicillin Allergic Floor Patients Who Received Amoxicillin Challenge - Experimental vs Penicillin Allergic Floor Patients Who Received Amoxicillin Challenge - Control: Adverse Events (in Particular, Reported Allergic Events)
Trial comparisons
Penicillin Allergic Floor Patients- Experimental vs Penicillin Allergic Floor Patients- Control: Penicillin Allergy Label RemovalTrial comparisons
Penicillin Allergic Floor Patients- Experimental vs Penicillin Allergic Floor Patients- Control: deaths from any causeTrial comparisons
Penicillin Allergic Floor Patients- Experimental vs Penicillin Allergic Floor Patients- Control: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03702270

GET https://conductscience.org/api/trials/v1/NCT03702270/results?page=2